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PONDEROSA FAMILY CARE, LLC
NPI 1992321723
Clinic/Center - Rural Health in Payson, AZ

Active since June 17, 2020
127 E MAIN ST STE D, PAYSON, AZ 85541(928) 468-8603(928) 468-8625 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ponderosa Family Care, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PONDEROSA FAMILY CARE, LLC (NPI 1992321723) is a healthcare organization registered as a rural health in Payson, Arizona and active in the NPI registry since June 2020. The organization lists Alan P Michels, Physician/owner, as its authorized official.

NPPES Registry Identity

NPI1992321723
Entity TypeOrganization
Primary Taxonomy261QR1300X
Legal Business NamePONDEROSA FAMILY CARE, LLC
Location Address127 E MAIN ST STE DPayson, AZ 85541-5646
Mailing AddressPo Box 2901Payson, AZ 85547-2901 · (928) 468-8603 · Fax (928) 468-8625
Phone(928) 468-8603
Fax(928) 468-8625
Organization SubpartNo
Authorized OfficialAlan P MichelsPhysician/owner · (928) 468-8603
Enumeration DateJune 17, 2020
NPPES CertifiedJune 17, 2020
✔ NPI 1992321723 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Rural HealthAmbulatory Health Care Facilities
Taxonomy Code261QR1300X
127 E MAIN ST STE D, Payson, AZ 85541
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and more.Insurance ›

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MS. SHARON LEIGH CARAVETTA FNP
Nurse Practitioner (Family)
127 E MAIN ST STE D
PAYSON, AZ 85541
Gila County (928) 468-8603
DARRELL D WADAS MD
Internal Medicine (Gastroenterology)
127 E MAIN ST STE D
PAYSON, AZ 85541
Gila County (602) 761-0707

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Ponderosa Family Care, LLC's NPI number?

The NPI number for Ponderosa Family Care, LLC is 1992321723. It was assigned to this organization in the NPPES registry on June 17, 2020.

Where is Ponderosa Family Care, LLC located?

Ponderosa Family Care, LLC is located at 127 E Main St Ste D, Payson, AZ 85541. The listed phone number is (928) 468-8603.

What is Ponderosa Family Care, LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.

What insurance does Ponderosa Family Care, LLC accept?

Health plans from Ambetter from Arizona Complete Health, Blue Cross Blue Shield of Arizona, Imperial Insurance Companies, Inc. and UnitedHealthcare list Ponderosa Family Care, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Ponderosa Family Care, LLC was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.